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Individual
FULLER MCCABE
Active
Individual
FULLER MCCABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
27163
MS
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266786
—
AL
Enumeration date
03/20/2015
Last updated
11/15/2022
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